利多卡因宫颈旁注射在人工流产术中的观察

A clinical observation of analgesic effect of paracervical block of lidocaine hydrochloride in induced abortion operation

目的提高计划生育手术质量,减轻患者痛苦。方法观察组216例,用利多卡因术前宫颈旁注射,在神经阻滞麻醉下行人工流产术,对照组102例常规治疗。结果观察组发生疼痛等不适低于对照组,镇痛效果明显。观察组人工流产综合征反应率为10.18%,对照组为74.50%,2χ=131.46,P<0.01。结论观察组宫颈松驰情况明显优于对照组,镇痛效果明显,术后子宫收缩、阴道出血及手术时间无统计学意义。

ObjectlveTo lessen pain perception of the patients undergoing induced abortion operation in family planning project. Methods 318 women with early pregnancy were divided into two groups： 216 in the study group and 102 in the control group. 216 women with early pregnancy in the study group were performed on induced abortion operation under paracervical block anesthesia of 2.5ml of 1% lidocaine hydrochloride injection and 102 women in the control group underwent induced abortion operation routinely （without paracervical block anesthesia）. Results In the study group, the incidence of induced abortion syndrome was 10.18%, and that in the control group was 74.5%, there was a significant difference between the two groups （x^2 = 131.46, P 〈 0.01 ）. Conclusion Under paracervical block anesthesia of lidocaine, the cervical relaxation degree is better than that in the control group, and analgesic effect is satisfactory. Meanwhile, in postoperative uterine contraction, vaginal bleeding and operation duration, there are no significant difference between the two groups.